Report Welfare Fraud Form

The County of Jefferson

DEPARTMENT OF SOCIAL SERVICES

Human Services Building

250 Arsenal Street

Watertown, NY 13601

Phone: (315) 785-3000

Fax: (315 785-3109

Email: JeffFraud@dfa.state.ny.us

FRAUD REFERRAL FORM

You can report suspected cases of fraud in the following program areas: Temporary Assistance (Welfare), SNAP (Food Stamps), Medicaid, HEAP, and Day Care. Additionally you may report any individual who is a day care provider or landlord, and is receiving payments from the Department of Social Services-Economic Security for services not being provided. You can also report stores who exchange Food Stamps for cash, individuals who sell their Food Stamp Benefits for cash, or who purchase food with their benefits, and sell the food to other retailers. Examples of common fraud situations involve recipients who fail to report receiving income or fail to report everyone residing in the home. If you are unsure whether or not something is considered fraud you can contact the Investigations Unit at (315) 785-3353.

Your name will be kept confidential, however, we would like to be able to contact you in the event that we need additional information.


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